The long-term effects of naprapathic manual therapy on back and neck pain - Results from a pragmatic randomized controlled trialReportar como inadecuado




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BMC Musculoskeletal Disorders

, 11:26

First Online: 05 February 2010Received: 14 October 2009Accepted: 05 February 2010

Abstract

BackgroundBack and neck pain are very common, disabling and recurrent disorders in the general population and the knowledge of long-term effect of treatments are sparse. The aim of this study was to compare the long-term effects up to one year of naprapathic manual therapy and evidence-based advice on staying active regarding non-specific back and-or neck pain. Naprapathy, a health profession mainly practiced in Sweden, Finland, Norway and in the USA, is characterized by a combination of manual musculoskeletal manipulations, aiming to decrease pain and disability in the neuromusculoskeletal system.

MethodsSubjects with non-specific pain-disability in the back and-or neck lasting for at least two weeks n = 409, recruited at public companies in Sweden, were included in this pragmatic randomized controlled trial. The two interventions compared were naprapathic manual therapy such as spinal manipulation-mobilization, massage and stretching, Index Group, and advice to stay active and on how to cope with pain, provided by a physician Control Group. Pain intensity, disability and health status were measured by questionnaires.

Results89% completed the 26-week follow-up and 85% the 52-week follow-up. A higher proportion in the Index Group had a clinically important decrease in pain risk difference RD = 21%, 95% CI: 10-30 and disability RD = 11%, 95% CI: 4-22 at 26-week, as well as at 52-week follow-ups pain: RD = 17%, 95% CI: 7-27 and disability: RD = 17%, 95% CI: 5-28. The differences between the groups in pain and disability considered over one year were statistically significant favoring naprapathy p ≤ 0.005. There were also significant differences in improvement in bodily pain and social function subscales of SF-36 health status favoring the Index Group.

ConclusionsCombined manual therapy, like naprapathy, is effective in the short and in the long term, and might be considered for patients with non-specific back and-or neck pain.

Trial registrationCurrent Controlled Trials ISRCTN56954776.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2474-11-26 contains supplementary material, which is available to authorized users.

Eva Skillgate, Tony Bohman contributed equally to this work.

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Autor: Eva Skillgate - Tony Bohman - Lena W Holm - Eva Vingård - Lars Alfredsson

Fuente: https://link.springer.com/







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